SCHEDULE

Application for Enrolment on Church Electoral Roll
I (Full Christian name and surname )
of (Full postal address)
declare:—
(i) I am baptised.
Words in Sch. Form substituted (coming into force in accordance with S.I. 2022/1180, art. 4) by Channel Islands Measure 2020 (No. 2), ss. 4(3), 5(3); S.I. 2022/1180, art. 4 (with art. 3)
(ii) I am a member of the Church of England
or
I am a member of , being a Church in communion with the Church of England
or
I am a member in good standing of , being a Church which is not in communion with the Church of England, but subscribes to the doctrine of the Holy Trinity and I am also a member of the Church of England.*
(iii) I am aged 16 or over.
(iv) I am resident in the island of
I hereby apply to have my name entered on the Church electoral roll of the Island of
Signed
Date
* Strike out whichever is not applicable.
Form substituted by S.I. 1970/1117
Sch. modified (coming into force in accordance with art. 1(2) of the amending S.I.) by The Attachment of Jersey to the Diocese of Salisbury Order 2022 (S.I. 2022/867), art. 4(8)
Sch. modified (coming into force in accordance with art. 1(2) of the amending S.I.) by The Channel Islands (Attachment of the Bailiwick of Guernsey to the Diocese of Salisbury) Order 2022 (S.I. 2022/1180), art. 6(9) (with art. 3)